How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $3.80 Median $11.48 Typical High $11.75 | Facility | None | $3.80 | $11.48 | $11.75 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $11.75 Typical High $14.13 | Professional | None | $3.80 | $11.75 | $14.13 |
Ambetter Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | None | $8.71 | $8.71 | $8.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.71 Median $14.13 Typical High $14.79 | Facility | None | $8.71 | $14.13 | $14.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.92 Median $8.91 Typical High $14.45 | Professional | None | $6.92 | $8.91 | $14.45 |
CareSource Setting Facility Modifier None Typical Low $14.13 Median $16.98 Typical High $19.50 | Facility | None | $14.13 | $16.98 | $19.50 |
CareSource Setting Professional Modifier None Typical Low $14.13 Median $17.38 Typical High $28.18 | Professional | None | $14.13 | $17.38 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $33.11 Typical High $33.11 | Facility | None | $10.96 | $33.11 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $93.33 Typical High $93.33 | Professional | None | $7.08 | $93.33 | $93.33 |
United Setting Professional Modifier None Typical Low $5.89 Median $8.71 Typical High $17.38 | Professional | None | $5.89 | $8.71 | $17.38 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.91 Median $5.89 Typical High $7.08 | Professional | 52 · Reduced service | $1.91 | $5.89 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $2.34 Typical High $2.82 | Professional | 53 · Discontinued | $0.76 | $2.34 | $2.82 |
Where Kentucky sits
The same service costs 3.2 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Kentucky· 51st of 51
$9.77
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.